Totter, Bob CDB 4-2003 v AGENDA ITEM »8B
APRIL 14.2003
CITY OF ATLANTIC BEACH
BOARD/COMMITTEE MEMBER INFORMATION SHEET
NAME OF BOARD/COMMITTEE £aq1 Maki r r7 De ve,� ,piie.�r A,A4rc//
NAME OF APPLICANT/MEMBER ,it —
ADDRESS Z 71 11-rk
DAYTIME PHONE 0,1 Y 7 /66 S EVENING PHONE
E-MAIL ADDRESS £1i e-rrittk4 A-rr'bt. coal FAX#
Please provide a brief explanation of your interest or any special qualifications you have in this field and your reasons
for wishing to be appointed to this board/committee.
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Please return completed form to
Maureen King, City Clerk, 800 Seminole Road, Atlantic Beach, FL 32233